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NPI Code Detail

MEDICARE: LORAK HEALTH SYSTEMS INC

MEDICARE: LORAK HEALTH SYSTEMS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1063737898
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORAK HEALTH SYSTEMS INC
Provider Business Mailing Address
First Line : 14007 RIVER KEG DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-6507
Country : US
Telephone Number : 281-433-1024
Fax Number :
Provider Business Practice Location Address
First Line : 14007 RIVER KEG DR
Second Line :
City : HOUSTON
State : TX
Zip : 77083-6507
Country : US
Telephone Number : 281-433-1024
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. CHRISTIAN ETOAMA
Credential :
Telephone Number : 281-433-1024
Provider Enumeration Date : 04/05/2010
Last Update Date : 04/05/2010

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Directions to “LORAK HEALTH SYSTEMS INC ” Practice Location

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